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. 2003 Oct;136(4):741-4.
doi: 10.1016/s0002-9394(03)00319-2.

Early macular holes with retinoschisis in highly myopic eyes

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Early macular holes with retinoschisis in highly myopic eyes

Yasushi Ikuno et al. Am J Ophthalmol. 2003 Oct.

Abstract

Purpose: We present two cases with early macular holes (MH) complicated by retinoschisis and foveal detachment (RSFD).

Design: Case reports.

Case report: A 46-year-old woman and a 70-year-old woman, both with high myopia, presented visual loss and a small MH associated with RSFD. Vitrectomy and gas tamponade were performed. However, both MHs enlarged postoperatively, resulting in progressive retinal detachment. Additional gas tamponade led to retinal reattachment. At the final visit, the MH was open in case 1 but closed in case 2.

Conclusions: Although the benefit of vitrectomy is uncertain, RSFD and MHs can be associated in highly myopic eyes.

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